Emory Hillandale Hospital
2801 Dekalb Medical Parkway, Lithonia, GA · Emoryhealthcare · · NPI 1962403865
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,079.00 | $1,079.00 | $407.74 – $4,840.09 | 11 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $2,069.52 – $4,840.09 | 11 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1,343.00 – $4,840.09 | 4 |
| Destruction anal lesion(s) CPT 46910 | $5,810.00 | $5,810.00 | $2,069.52 – $4,840.09 | 11 |
| Destruction anal lesion(s) CPT 46924 | $4,862.00 | $4,862.00 | $2,572.00 – $5,902.20 | 11 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction benign lesions < 14 lesions CPT 17110 | $4,609.00 | $4,609.00 | $201.24 – $4,840.09 | 10 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $5,507.00 | $5,507.00 | $887.15 – $5,345.54 | 11 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $11,148.00 | $11,148.00 | $1,343.00 – $2,572.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $11,148.00 | $11,148.00 | $1,958.63 – $4,840.09 | 11 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,314.80 – $5,345.54 | 11 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,384.68 – $5,345.54 | 11 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,384.68 – $5,345.54 | 11 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $604.00 | $604.00 | $201.24 – $4,840.09 | 11 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,572.00 – $8,821.68 | 11 |
| Destruction les conjunctiva CPT 68135 | $3,920.00 | $3,920.00 | $2,384.68 – $5,055.51 | 11 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $407.74 – $4,840.09 | 10 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,069.52 – $4,840.09 | 11 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $407.74 – $4,840.09 | 11 |
| Destruction rectal tumor 45190 CPT 45190 | $15,686.00 | $15,686.00 | $2,784.06 – $11,403.39 | 11 |
| Destruction vag lesions complex 57065 CPT 57065 | $4,609.00 | $4,609.00 | $2,572.00 – $6,883.46 | 11 |
| Destruction vag lesions simple 57061 CPT 57061 | $4,609.00 | $4,609.00 | $2,572.00 – $6,883.46 | 11 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,069.52 – $4,840.09 | 11 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $22.52 – $63.66 | 10 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $32.75 – $92.58 | 10 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $129.06 – $273.61 | 7 |
| Device ablt adv novasure HCPCS C1886 | $11,951.50 | $11,951.50 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,850.00 | $3,850.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $3,053.60 | $3,053.60 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $1,137.40 | $1,137.40 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,623.50 | $2,623.50 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $3,051.00 – $8,821.68 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $237.00 | $237.00 | $32.87 – $199.53 | 11 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.45 | $2.45 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $3.36 | $3.36 | not published | 0 |
| Dexamethasone panel CPT 80420 | not published | not published | $121.41 – $343.19 | 10 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $770.96 | $770.96 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $174.02 | $174.02 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $36.05 | $36.05 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $60.32 | $60.32 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $36.05 | $36.05 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $499.00 | $499.00 | $16.67 – $47.13 | 10 |
| Diabetes (HbA1c) Test CPT 83036 | $158.00 | $158.00 | $7.28 – $20.59 | 10 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $66.00 | $66.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $64.00 | $64.00 | $16.24 – $34.43 | 7 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,785.28 – $5,345.54 | 11 |
| Diag laparo separate proc 49320 CPT 49320 | $8,661.00 | $8,661.00 | $4,962.02 – $12,855.28 | 11 |
| Diagnostic anoscopy CPT 46601 | $8,264.00 | $8,264.00 | $448.08 – $4,840.09 | 10 |
| Diagnostic anoscopy & biopsy CPT 46607 | $4,894.00 | $4,894.00 | $1,200.26 – $4,840.09 | 11 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $8,718.00 | $8,718.00 | $133.45 – $4,840.09 | 10 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $138.00 – $301.35 | 5 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $268.00 | $268.00 | $129.23 – $236.38 | 5 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $478.00 | $478.00 | $200.21 – $4,840.09 | 11 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $668.00 | $668.00 | $200.21 – $4,840.09 | 11 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $612.00 | $612.00 | $98.82 – $301.35 | 10 |
| Diagnostic Mammogram (one breast) CPT 77065 | $550.00 | $550.00 | $76.97 – $236.38 | 10 |
| Diagnostic radio unlisted proc CPT 76499 | $1,481.00 | $1,481.00 | $87.29 – $199.53 | 8 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,687.00 | $8,687.00 | $1,343.00 – $2,572.00 | 3 |
| Dialysis one evaluation CPT 90945 | $1,327.00 | $1,327.00 | $418.52 – $887.27 | 7 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.87 – $128.00 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $1.33 | $1.33 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $110.23 | $110.23 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $312.30 | $312.30 | not published | 0 |
| Diffusing capacity CPT 94729 | $1,719.00 | $1,719.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $2,811.00 | $2,811.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,343.00 – $5,345.54 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $14.36 | $14.36 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,823.58 | $11,823.58 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $397.00 | $397.00 | $9.96 – $28.15 | 10 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $646.73 | $646.73 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $5,258.00 | $5,258.00 | $1,343.00 – $2,572.00 | 3 |
| Dilate esophagus CPT 43453 | $6,234.00 | $6,234.00 | $1,924.71 – $4,840.09 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | $4,862.00 | $4,862.00 | $909.73 – $4,840.09 | 11 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $8,507.00 | $8,507.00 | $3,051.00 – $6,156.44 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $7,291.00 | $7,291.00 | $3,051.00 – $6,156.44 | 3 |
| Dilate ic vasospasm init CPT 61640 | $9,720.00 | $9,720.00 | $3,051.00 – $6,156.44 | 3 |
| Dilate tear duct opening CPT 68801 | not published | not published | $448.08 – $4,840.09 | 10 |
| Dilate urethra stricture CPT 53600 | $4,609.00 | $4,609.00 | $250.60 – $4,840.09 | 11 |
| Dilate urethra stricture CPT 53601 | not published | not published | $133.45 – $4,840.09 | 10 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,912.00 – $7,495.56 | 11 |
| Dilate urethra stricture CPT 53621 | not published | not published | $250.60 – $4,840.09 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $129.06 – $4,840.09 | 11 |
| Dilation of anal sphincter CPT 45905 | $4,862.00 | $4,862.00 | $1,200.26 – $4,840.09 | 11 |
| Dilation of cervical canal 57800 CPT 57800 | $4,609.00 | $4,609.00 | $2,572.00 – $6,883.46 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | $4,609.00 | $4,609.00 | $1,200.26 – $4,840.09 | 11 |
| Dilation of salivary duct CPT 42660 | $1,525.00 | $1,525.00 | $540.96 – $4,840.09 | 11 |
| Dilation of urethra CPT 53661 | not published | not published | $133.45 – $4,840.09 | 10 |
| Dilation of urethra CPT 53665 | not published | not published | $2,096.71 – $4,840.09 | 11 |
| Dilation of vagina CPT 57400 | $5,507.00 | $5,507.00 | $3,011.79 – $6,883.46 | 11 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,556.28 – $4,840.09 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $699.41 – $4,840.09 | 11 |
| Dilator fascial 10fx20cm HCPCS C2627 | $104.50 | $104.50 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $7,301.00 | $7,301.00 | $2,572.00 – $7,495.56 | 9 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,295.00 – $8,364.54 | 9 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $106.09 | $106.09 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $12.73 | $12.73 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.